Worldwide, cervical cancer is the fourth most common cancer among women, and the World Health Organization (WHO) Western Pacific Region, where the U.S.-affiliated Pacific Islands (USAPI) are located, accounts for one quarter of all estimated cases. Human papillomavirus (HPV) vaccines are recommended at age 11-12 years to prevent most cervical cancers. HPV vaccines were introduced across USAPI during 2007-2016, predominantly provided through school-located vaccination programs. Retrospective analysis using data from jurisdictional immunization information systems was used to estimate vaccination coverage among adolescent girls as of the last day of each calendar year during 2013-2023. This analysis measured progress toward the WHO 2030 vaccination coverage goal of ≥90% completion of the HPV vaccination series among girls by age 15 years. As of December 2023, initiation of the HPV vaccination series among adolescent girls aged 13-17 years ranged from 58.0% in Palau to 97.2% in the Northern Mariana Islands, and HPV vaccination series completion coverage ranged from 43.4% in Palau to 91.8% in the Northern Mariana Islands. HPV vaccination series completion coverage is >90% in the Northern Mariana Islands and is on track to meet WHO goals by 2030 in American Samoa. Assessment of adolescent vaccination coverage can help immunization programs monitor progress toward regional goals and identify populations and areas with low coverage. Implementing evidence-based strategies to increase vaccine access and coverage would benefit jurisdictions with lagging coverage.

中文翻译：

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13-17 岁少女的人乳头瘤病毒疫苗接种覆盖率 - 美国所属太平洋岛屿，2013-2023 年。


在世界范围内，宫颈癌是女性第四大常见癌症，世界卫生组织 (WHO) 西太平洋地区（美国附属太平洋岛屿 (USAPI) 所在地区）占所有估计病例的四分之一。建议在 11-12 岁时接种人乳头瘤病毒 (HPV) 疫苗，以预防大多数宫颈癌。 2007 年至 2016 年期间，USAPI 引入了 HPV 疫苗，主要通过学校疫苗接种计划提供。使用辖区免疫信息系统的数据进行回顾性分析，估算截至 2013-2023 年每个日历年最后一天少女的疫苗接种覆盖率。该分析衡量了世卫组织 2030 年疫苗接种覆盖率目标（即 15 岁女孩 HPV 疫苗接种系列完成率≥90%）的进展情况。截至 2023 年 12 月，13-17 岁少女开始接种 HPV 疫苗系列的比例从帕劳的 58.0% 到北马里亚纳群岛的 97.2%，完成 HPV 疫苗系列接种的覆盖率从帕劳的 43.4% 到北马里亚纳群岛的 91.8%。北马里亚纳群岛。北马里亚纳群岛的 HPV 疫苗接种系列完成覆盖率为 >90%，美属萨摩亚有望在 2030 年实现世界卫生组织的目标。评估青少年疫苗接种覆盖率可以帮助免疫规划监测区域目标的进展情况并确定覆盖率较低的人群和地区。实施基于证据的策略来增加疫苗的获取和覆盖率将使覆盖率滞后的司法管辖区受益。